KENDRA IESHA SAMUEL FNP
NPI 1386125383
Nurse Practitioner - Family in Wiggins, MS

Active since August 27, 2018PECOS EnrolledAccepts Medicare Assignment
1434 CENTRAL AVE E, WIGGINS, MS 39577(601) 928-6600 Get Directions Write a Review

NPPES record last updated: October 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 22, 2020, Jan 11, 2019, Aug 27, 2018 (3 updates tracked since 2018).

About Kendra Iesha Samuel Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA IESHA SAMUEL FNP (NPI 1386125383) is an individual family provider in Wiggins, Mississippi, licensed in Mississippi (902802) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1386125383
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENDRA IESHA SAMUELCredential: FNP
Location Address1434 CENTRAL AVE EWiggins, MS 39577-9602
Mailing Address1434 Central Ave EWiggins, MS 39577-9602 · (601) 928-6600
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 27, 2018
Last NPPES UpdateOctober 22, 20203 updates tracked since enumeration
NPPES CertifiedOctober 22, 2020
NPI 1386125383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 902802
1434 CENTRAL AVE E, Wiggins, MS 39577

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kendra Iesha Samuel Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395086904
PECOS Enrollment IDI20190426002348
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Wheelchairs (DD000N)

    Standard wheelchair (HCPCS:K0001)

    3 DME suppliers used 19 Medicare Claims 19 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 164 times for 55 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

This service was performed 458 times for 75 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.12 for a new patient copayment and $23.05 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39577 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $80.5
  • Minimum New Patient Price $51.65
  • Maximum New Patient Price $159.18
  • Average New Patient Copayment $20.12
  • Minimum New Patient Copayment $12.91
  • Maximum New Patient Copayment $39.79

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $92.2
  • Minimum Established Patient Price $16.15
  • Maximum Established Patient Price $129.61
  • Average Established Patient Copayment $23.05
  • Minimum Established Patient Copayment $4.03
  • Maximum Established Patient Copayment $32.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kendra Samuel is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL HOSPITAL AT GULFPORT4500 13TH STREET
GULFPORT, MS 39502
(228) 867-4000Acute Care Hospitals

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Ambulance
1434 CENTRAL AVE E
WIGGINS, MS 39577
Clinic/Center (Rural Health)
1434 CENTRAL AVE E
WIGGINS, MS 39577
Clinic/Center (Rural Health)
1434 CENTRAL AVE E
WIGGINS, MS 39577
General Acute Care Hospital (Critical Access)
1434 CENTRAL AVE E
WIGGINS, MS 39577
Podiatrist (Foot Surgery)
1434 CENTRAL AVE E
WIGGINS, MS 39577
Nurse Practitioner
1434 CENTRAL AVE E
WIGGINS, MS 39577
General Acute Care Hospital (Critical Access)
1434 CENTRAL AVE E, P O DRAWER 97
WIGGINS, MS 39577
Medicare Defined Swing Bed Unit
1434 CENTRAL AVE E, P O DRAWER 97
WIGGINS, MS 39577
Nurse Practitioner (Gerontology)
1434 CENTRAL AVE E
WIGGINS, MS 39577
Physical Therapy Assistant
1434 CENTRAL AVE E
WIGGINS, MS 39577
Nurse Practitioner (Family)
1434 CENTRAL AVE E
WIGGINS, MS 39577
Speech-Language Pathologist
1434 CENTRAL AVE E
WIGGINS, MS 39577
Nurse Practitioner (Family)
1434 CENTRAL AVE E
WIGGINS, MS 39577
General Acute Care Hospital
1434 CENTRAL AVE E
WIGGINS, MS 39577
Nurse Practitioner (Acute Care)
1434 CENTRAL AVE E
WIGGINS, MS 39577

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386125383, enumerated as an "individual" on August 27, 2018.

The provider is located at 1434 CENTRAL AVE E WIGGINS, MS 39577 and the phone number is (601) 928-6600.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama. Please consult your insurance carrier or call the provider to verify.

Kendra Samuel is affiliated with: MEMORIAL HOSPITAL AT GULFPORT.